George L Garcia, M.D.
Individual provider Active NPI Family Medicine Physician · Holloman Afb, NM
NPI 1174557672 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1174557672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 82-193 (NM)
- Practice address
- 49TH Medical Group/Sgopf
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273 - Phone
- (575) 572-7091
- Fax
- (575) 572-2259
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11376 | MO | MD | Family Medicine Physician |
| 82-193 | NM | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD11376 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | MD11376 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 82-193 | NM | |
| Family Medicine Physician | 207Q00000X | 82-193 | NM | Yes |
Addresses
Primary practice location
49TH Medical Group/Sgopf
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273
Mailing address
49TH Medical Group/Sgopf
280 First Street, BLDG 23
Holloman Afb, NM 88330-8273
Phone (575) 572-7091
Other providers in Holloman Afb, NM
- Sarah Durgam
- Joe Calvin Durham II
- Frank Joseph Emmert
- Hollynd Estrada
- Heidi Fenton
- Kayla Garrett
- Tod Anthony Giglio
- Tanner Gray
- Chelsea Kahle Hanna
- Josiah Hardin
All providers in Holloman Afb, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.